中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
9期
1021-1023
,共3页
心脏外科手术%护理方法学研究%出入量管理
心髒外科手術%護理方法學研究%齣入量管理
심장외과수술%호리방법학연구%출입량관리
Cardiac surgery%Nursing methodology research%Intake and output management
目的 探讨心脏外科病房患者出入量管理改进的护理效果.方法 将2011年3月出入量管理改进前87例手术患者作为对照组,将2012年3月改进后83例手术患者作为观察组,比较两组术后出入量、利尿次数、补液相关并发症及术后住院时间等.结果 观察组3d内入量波动平均值为(596 ±217)ml,平均每人夜间利尿次数为(0.7±0.6)次,首次下床活动时间为术后(2.7±2.6)d；对照组分别为(762±225) ml,(1.2±0.6)次,(3.9±2.1)d,两组比较差异均有统计学意义(t值分别为4.891,5.431,3.312;P ＜0.05)；而相关并发症如脱水、咳泡沫痰两组差异无统计学意义(P＞0.05).结论 细化量化出入量管理,制定可操作性强的出入量管理计划,改进时间安排,可以有效促进患者康复,有效减少护士夜间输液利尿及预防被动处理相关并发症,提高护理工作的条理性和工作效率.
目的 探討心髒外科病房患者齣入量管理改進的護理效果.方法 將2011年3月齣入量管理改進前87例手術患者作為對照組,將2012年3月改進後83例手術患者作為觀察組,比較兩組術後齣入量、利尿次數、補液相關併髮癥及術後住院時間等.結果 觀察組3d內入量波動平均值為(596 ±217)ml,平均每人夜間利尿次數為(0.7±0.6)次,首次下床活動時間為術後(2.7±2.6)d；對照組分彆為(762±225) ml,(1.2±0.6)次,(3.9±2.1)d,兩組比較差異均有統計學意義(t值分彆為4.891,5.431,3.312;P ＜0.05)；而相關併髮癥如脫水、咳泡沫痰兩組差異無統計學意義(P＞0.05).結論 細化量化齣入量管理,製定可操作性彊的齣入量管理計劃,改進時間安排,可以有效促進患者康複,有效減少護士夜間輸液利尿及預防被動處理相關併髮癥,提高護理工作的條理性和工作效率.
목적 탐토심장외과병방환자출입량관리개진적호리효과.방법 장2011년3월출입량관리개진전87례수술환자작위대조조,장2012년3월개진후83례수술환자작위관찰조,비교량조술후출입량、이뇨차수、보액상관병발증급술후주원시간등.결과 관찰조3d내입량파동평균치위(596 ±217)ml,평균매인야간이뇨차수위(0.7±0.6)차,수차하상활동시간위술후(2.7±2.6)d；대조조분별위(762±225) ml,(1.2±0.6)차,(3.9±2.1)d,량조비교차이균유통계학의의(t치분별위4.891,5.431,3.312;P ＜0.05)；이상관병발증여탈수、해포말담량조차이무통계학의의(P＞0.05).결론 세화양화출입량관리,제정가조작성강적출입량관리계화,개진시간안배,가이유효촉진환자강복,유효감소호사야간수액이뇨급예방피동처리상관병발증,제고호리공작적조이성화공작효솔.
Objective To explore the effects of the improved management of the intake and output on the nursing in the cardiac surgery ward.Methods Totals of 87 patients hospitalized in March 2011 before the improvement of intake and output management were chose as the control group,and 83 patients hospitalized in March 2012 after the improvement were recruited as the observation group.Then,compared the intake and output after surgery,the times of using diuretics,complications of fluid infusion and the time in hospital after surgery.Results Compared with the control group,the average volume of intake and output in 3 days after surgery [(596 ± 217) vs (762 ± 225) ml],the times of using diuretics in night [(0.7 ± 0.6) vs (1.2 ± 0.6) times],the off bed time [(2.7 ± 2.6) vs (3.9 ± 2.1) days] in observation group were significantly improved (t=4.891,5.431,3.312,respectively ;P ＜ 0.05).There was no significant difference between the two groups in complications such as dehydration and frothy sputum (P ＞ 0.05).Conclusions After detailing the management of intake and output,the management plan is quantified and maneuverable,which promote the recovery of patients efficiently,decrease the frequency of using diuretics during the night and the relevant complications,and make the nursing work more methodical and efficient.
